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Virginia rates for HCPCS J0515

Injection Benztropine Mesylate Per 1 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.09 / $31.38 / $39.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $16.09 / $16.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.29 / $25.36 / $38.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $14.46 / $15.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $15.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $18.39 / $31.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.33 / $15.33 / $31.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $28.00 / $28.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.56 / $18.55 / $28.50
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.56 / $18.55 / $28.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $15.33 / $19.23